污名化量表(The Stigma Scale)是目前具公信力，可確實測量心理健康問題污名化程度之量表。雖然The Stigma Scale是一方便有效的自陳評估工具，但國內尚未進行此量表的中文化工作，鑑此，本研究旨在：(1)將The Stigma Scale量表二階段中文化；(2)題目分析及選題，精簡量表題目數；(3)檢視精簡題目之「精神障礙者污名化量表」信、效度。研究對象以南部某精神專科教學醫院及醫學中心慢性精神分裂症病患為主，以151名前測樣本施測後進行探索性因素分析、項目分析，並依據文獻分析結果發現，在心理健康問題污名化之潛在條件有歧視、正向觀感及自我覺察三項，據此構面進行題目分析及選題後保留22題，並以保留題目施測於215名正式樣本，進行驗證性因素分析，量表信、效度檢定。
研究結果顯示：(1)專家內容效度達 .92；(2)選題後量表內部一致性信度介於 .83~.93，一個月的再測信度Cronbach's 係數介於 .55~.73之間；(3)驗證性因素分析顯示「精神障礙者污名化量表」模式具可接受之模式適配度，顯示量表信、效度理想，適合用來評估國內精神障礙者所感受到精神疾病之污名化，亦可作為醫療服務與臨床評估的良好工具。

The stigma scale (The Stigma Scale) can actually measure the degree of stigma of mental health problems nowadays. Although The Stigma Scale is a convenient and effective self-report assessment tool, there is no Chinese version in Taiwan. Therefore, this study aims to: (1) two stage translation of The Stigma Scale; (2) item analysis and streamline the number of items; (3)check the reliability and validity of the streamlining The Stigma Scale. Participants with chronic schizophrenia come from a psychiatric teaching hospital and a hospital center in south of Taiwan. After the exploratory factor analysis and the item analysis of the pre-test by 151 patients and the literature analysis, we found that the stigma of mental health problems includes three domains, discrimination, positive perception and disclosure. According to dimensions of analysis we retained 22 questions after selection, and test to 215 formal samples for confirmatory factor analysis, reliability and validity.
Results showing: (1) The content validity is .92; (2) the internal consistency reliability after selection ranged from .83 ~ .93, one-month test-retest reliability Cronbach's coefficient ranged from .55 ~ .73; (3) confirmatory factor analysis showed that the "The Stigma Scale" has an acceptable model fit, ideal reliability and validity, and suitable for assessing the sense of the stigma of domestic patients with mental disorders. Also can be used on medical services and clinical assessment.

中文摘要.................................................................................................................. Ⅰ
英文摘要.................................................................................................................. Ⅱ
目次.......................................................................................................................... Ⅲ
圖次.......................................................................................................................... Ⅴ
表次.......................................................................................................................... Ⅵ
第一章 緒論........................................................................................................ 1
第一節 研究背景與動機.............................................................................. 1
第二節 研究目的.......................................................................................... 3
第三節 研究問題.......................................................................................... 3
第四節 研究限制.......................................................................................... 3
第二章 文獻探討................................................................................................ 4
第一節 污名的概念化.................................................................................. 4
第二節 國外污名化量表之介紹.................................................................. 7
第三章 研究設計與實施.................................................................................... 9
第一節 研究對象.......................................................................................... 9
第二節 研究工具.......................................................................................... 11
第三節 研究實施流程.................................................................................. 12
第四節 資料處理與分析.............................................................................. 14
第四章 研究結果................................................................................................ 15
第一節 內容效度分析.................................................................................. 15
第二節 題目分析及選題.............................................................................. 17
第三節 信度分析.......................................................................................... 21
第四節 效度分析.......................................................................................... 22
第五章 結論與建議............................................................................................ 24
第一節 研究結論.......................................................................................... 24
第二節 研究建議.......................................................................................... 25
參考文獻.................................................................................................................. 26
一、中文................................................................................................................ 26
二、西文................................................................................................................ 26

附錄.......................................................................................................................... 29
附錄1 「精神障礙者污名化量表」英文............................................................. 29
附錄2 「精神障礙者污名化量表」中文............................................................. 32
附錄3 「精神障礙者污名化量表」專家效度問卷............................................. 35
附錄4 「精神障礙者污名化量表」專家內容效度............................................. 36
附錄5 受試者同意書......................................................................................... 38

圖次
圖3-3-1 研究流程圖………………………………………………………………12
圖4-4-1 精神障礙者污名化量表之驗證性因素分析結果 ………………………23

表次
表3-1-1 前測施測樣本及有效樣本人數分配表…………………………………10
表3-1-2 正式施測樣本及有效樣本人數分配表…………………………………10
表4-1-1 檢核「精神障礙者污名化量表」專家之背景說明……………………16
表4-2-1 刪題前探索性因素分析摘要表…………………………………………18
表4-2-2 刪題後探索性因素分析摘要表…………………………………………19
表4-2-3 精神障礙者污名化量表之項目分析結果摘要表………………………20
表4-3-1 精神障礙者污名化量表之內部一致性信度……....……………………21
表4-3-2 精神障礙者污名化量表之再測信

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